Doctor Name: | MRS. MILAGROS TRIVINO KITANE |
NPI Number: | 1245303247 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0002165722-0001-1 |
Business Practice Address: | 8700 Woodman Ave Ste 6 Arleta, CA - 913316553 |
Business Phone Number: | 8189203700 |
Business Fax Number: | 8189203722 |
Mailing Address: | 8700 Woodman Ave Ste 6, ARLETA |
State: | CA |
Postal Code: | 913316553 |
Phone Number: | 8189203700 |
Fax Number: | 8189203722 |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 0002165722-0001-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |